3902 SMITH AVE 2023-04-26 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES EVERETT 3200 CEDAR STREET, EVERETT, WA 98201 WASHINGTON (P) 425-257-8810 1 (E) PermitServices@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 3900 Smith Ave BUILDING AREA: 13000 sq ft PROJECT TYPE: ❑ NEW CONSTRUCTION ❑ ADDITION s❑ TENANT IMPROVMENT ❑ REMODEL BUILDING USE: ❑ SFR []TOWNHOUSE ❑ DUPLEX ❑ ADU ❑ MULTI -FAMILY - # OF UNITS: Q COMMERCIAL ELECTRICAL APPLICATION INFORMATION & DESCRIPTION OF WORK CONTRACT PRICE OF WORK: $ 33581.16 ASSOCIATED BUILDING PERMIT # (if applicable): DESCRIBE SCOPE OF WORK: PULL CAT6 CABLE TO 19 CAMERA LOCATIONS IN WAREHOUSE AND OFFICE/RETAIL AREAS PULL CAT6 CABLE TO 19 CAMERA LOCATIONS IN WAREHOUSE AND OFFICE/RETAIL AREAS THIS INSTALLATION INCLUDES THE FOLLOWING SCOPE: (SELECT ALL THAT APPLY) LINE VOLTAGE WORK? ✓❑ NO ❑YES - Select Scope: ❑ Service ❑ Feeder ❑ Circuits-#: ❑ Complete Re -wire LOW VOLTAGE WORK? ❑ NO 0 YES- # of Devices: 19 SELECT SCOPE (REQUIRED): ❑ Data ❑ Intercom ❑ Thermostat ❑ Audio ❑ Secure Access El Security System ❑ Fire Alarm - Installations under this permit only include electrical wiring rough -in of the system. An additional Fire Alarm Permit is required for review of device location and installation approval. ❑ Other (List All): CODE COMPLIANCE IS THIS PERMIT EDUCATION, INSTITUTIONAL, HEALTH AND/OR PERSONAL CARE FACILITIES: El NO LJ YES -- See Below & Pg. 2 ❑ By checking this box, I am stating that I have read and understand all of WAC 296-46113-900, selected the specific reason on page 2 of this application (see next page), AND Plan Review is NOT required because I meet all of the following sub sections that do not See Page 2 require Plan Review. ARE YOU AN OWNER PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRICAL LICENSURE: ✓❑NO ❑YES -See Below & Pg. E]Pursuant to RCW 19.28.261, property owners and leaseholders cannot perform electrical work on buildings for rent, sale, or lease without the proper electrical licensing and certification, or exemption. By checking this box, I am stating that I have completed and See Page 3 signed the AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement. CONTACT INFORMATION OWNER NAME: NOrth Coast Electric TENANT BUSINESS NAME (If Commercial): North Coast Electric OWNER MAILING ADDRESS: STREET 3900 Smith Ave CITY Everett STATE WA Z,P 98201 OWNER PHONE: +14252597263 OWNER EMAIL: JOHNSON Nick <Nick.Johnson@northcoast.com> CONTRACTOR NAME: Reliable Security Sound and Data CONTRACTOR ADDRESS: STREET PO Box 1298 CITY Everett STATE WA Z,P 98206 CONTRACTOR PHONE: 4253535512 CONTRACTOR EMAIL: Cody@reliablesecurity.com CONTRACTOR LIC. #(REQUIRED): REUAS*11212 CITY OF EVERETT BUSINESS LIC. #(REQUIRED): 23864 PRIMARY CONTACT: [—]OWNER °❑CONTRACTOR []OTHER (Please Specify) CONTACT NAME: Cody Miller CONTACT PHONE: 425-923-6497 CONTACT EMAIL:cody@reliablesecurity.com AGREEMENT: I hereby certify that/ have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That/ am authorized by the owner of this property to perform the work for which application is made and/ comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT #: Sean McJunkin Date: 2023.03.06 03/06/2023 I E 10:29:53-08'00' Owner/Authorized Agent Signature Date (Revised 41512022) Page 1-Application